Parker S G, Reid T H, Boulton R, Wood C, Sanders D, Windsor Ajc
Department of Colorectal Surgery and Abdominal Wall Reconstruction, University College London Hospital , London , UK.
Ann R Coll Surg Engl. 2018 Feb;100(2):106-110. doi: 10.1308/rcsann.2017.0158. Epub 2017 Sep 4.
Ventral hernia disease is becoming increasingly prevalent and complex. Subspecialisation for patients with challenging conditions requiring surgery has been shown to improve postoperative outcomes. Worldwide, there is an emergence of specialist hernia centres using new and innovative techniques to repair large and complicated ventral hernias. After a national meeting of hernia experts, we present an algorithm to be used as a national triage system for patients with ventral hernias, with the aim of ensuring that patients are operated on by the most appropriate surgeon. Evidence-based clinical risk factors and ventral hernia parameters are used for risk stratification and patient triage. We hope that this algorithm will guide future ventral hernia management in the UK.
腹疝疾病正变得越来越普遍和复杂。对于需要手术治疗的具有挑战性病情的患者进行专科化治疗已被证明可改善术后结果。在全球范围内，出现了一些使用新的创新技术来修复大型复杂腹疝的专科疝中心。在一次全国疝专家会议之后，我们提出一种算法，用作腹疝患者的全国分诊系统，目的是确保患者由最合适的外科医生进行手术。基于证据的临床风险因素和腹疝参数用于风险分层和患者分诊。我们希望该算法将指导英国未来的腹疝管理。
